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General NPI Number Information
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NPI Number | 1235463928
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Entity Type | Organization
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Legal Business Name | JAIME ROBLEDO MD PA
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 21830 KINGSLAND BLVD STE 102
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City | KATY
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State | TX
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Zip | 77450-2500
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Country | US
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Telephone | 713-590-5470
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Fax | 713-583-2800
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Provider Business Mailing Address
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Address Line | 21830 KINGSLAND BLVD STE 102
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City | KATY
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State | TX
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Zip | 77450-2500
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Country | US
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Telephone | 713-590-5470
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Fax | 713-583-2800
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAIME ROBLEDO
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Credential | M.D.
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Telephone | 713-590-5470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | K6916
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License Number State | TX
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